Facility Evaluation Report

Licensing Program Analysts (LPAs) Janira Arreola and Seo Jeon conducted an unannounced visit to the facility for a required annual inspection. LPAs was met with Staff, Maribel Aguilar, who was informed of the purpose of the visit. There were (1) staff and (1) clients present at the time of the visit.

Facility is a one story home with (4) client bedrooms and (2) bathrooms. The facility has no pool and no observed weapons.

LPAs observed the physical plant floors doors and windows, fixtures and furniture. LPAs observed a window without a window screen. LPAs issued citation and created a plan of corrections. There are extra linens and hygiene items, for clients and cleaning supplies to ensure the facility is sanitary. Facility kitchen 2-day supply of perishable and 7-day supply of non-perishable foods for the amount of clients present.

(1) Client files and (2) staff file were reviewed. The client file was incomplete with no medical assessment, TB test, individual service plan, or admission agreement for the client. LPAs issued a citation and plan of correction for client file. Current administrator has a pending certificate with the department. Current administrator has expired first aide and CPR certificate. There is no staff schedule at the time of the visit. LPAs issued citation for staff schedule and created a plan of correction. Staff present is fingerprint cleared and associated to the facility. The facility personal and incident funds and ledgers were reviewed, funds were accounted for.